Analysis of influencing factors on medical students' professionalism development based on a structural equation model

doi:10.3760/cma.j.cn115259-20211217-01544

Abstract

Abstract: Objective To explore and evaluate the influencing factors on medical students' professionalism development based on a structural equation model so as to advance the professionalism development of medical students. Methods A total of 606 undergraduates majoring in clinical medicine, nursing and stomatology from 2015 to 2019 in Shantou University Medical School were selected as the research objects to identify seven influencing factors on self-perception of professionalism development. IBM SPSS 26.0 and AMOS 24.0 were used for data analysis and model construction. Results The scores of curriculum satisfaction, peers' communication, self-efficacy, clinical practice, teachers' professionalism, social environment assessment and academic burden were (50.28±7.26), (28.53±3.78), (15.53±2.88), (35.30±4.63), (35.04±4.73), (10.72±4.08) and (18.75±4.40) respectively. Curriculum satisfaction (β=0.36,P＜0.001),peers' communication (β=0.36,P＜0.001), self-efficacy(β=0.18,P=0.002) and clinical practice (β=0.13,P=0.011) are the direct positive influence factors to medical students' professionalism. Teachers' professionalism (β=0.30,P＜0.001) plays an indirect positive role through mediating factors of curriculum satisfaction and clinical practice. Social environment assessment (β=-0.16,P＜0.001) plays an indirect negative role through the mediating factors of peer communication and curriculum satisfaction. Academic burden (β=-0.09,P＜0.001) plays an indirect negative role through the mediating factors of self-efficacy and peer communication. Conclusions Course satisfaction, peer communication, self-efficacy and clinical practice are the direct and positive influencing factors of medical students' professionalism; teacher quality is the indirect positive influencing factor; social environment evaluation and academic burden are indirect negative influencing factors. Implementing reform measuresaccording to the role path of the 7 influencing factors in this study, can promote medical students' professionalism.

Key words: Students,Medical, Professionalism, Influencing factors, Structural equation model

CLC Number:

Zheng Dongze, Wu Chengyu, Wang Meiyu, Lin Tingting, Han Hao, Yang Guitao, Qiu Xiuhua. Analysis of influencing factors on medical students' professionalism development based on a structural equation model[J]. Chinese Journal of Medical Education, 2022, 42(8): 692-696.

References

[1] 杨桂涛, 钟雁玲, 陈彦潼, 等. 基于自我认知的医学生职业素养发展阶段性比较研究[J].中华医学教育杂志,2020,40(11):872-875. DOI: 10.3760/cma.j.cn115259-20200131-00100.
[2] 郑亚楠, 龚茜. 未实习医学生同理心及其影响因素调查[J].现代预防医学,2018,45(4):679-682.
[3] 邱秀华, 何萍, 张忠芳. “5+3”一体化医学教育改革背景下的教师专业化发展[J].中国高等医学教育,2016(12):15-16. DOI: 10.3969/j.issn.1002-1701.2016.12.008.
[4] 曾旸, 林常敏, 冯捷, 等. 汕头大学医学院医学人文教育“医者之心”课程体系的探索与实践[J].中华医学教育杂志,2015,35(1):48-50,79. DOI: 10.3760/cma.j.issn.1673-677X.2015.01.016.
[5] 李萍, 袁晓旭, 严思彤. 护理本科毕业生临床实习满意度、职业认同、自我效能感的关系研究[J].卫生职业教育,2019,37(12):85-87.
[6] 杨倩倩,许小儿,沈莉,等.临床医学生及住院医师在教学活动中的不良情绪对学习效率影响的调查及思考[J].中国高等医学教育,2021(7):39-40,43. DOI: 10.3969/j.issn.1002-1701.2021.07.019
[7] 舒梦雅, 黄思涵, 陈晶. 临床医学生的医疗执业环境评价对职业认同的影响[J].医学与社会,2019,32(6):131-134. DOI: 10.13723/j.yxysh.2019.06.035.
[8] 徐慧明, 李莉, 曹文群, 等. 当前医师执业环境对在校医学生影响的调查研究[J].医学与哲学,2014(15):72-74. DOI: 10.3969/j.issn.1002-0772.2014.15.021.
[9] 陈丽, 吴日升, 冯莉莉, 等. 医学生自我效能感的培养措施——基于医学生自我效能感与学习倦怠的关联性角度分析[J].西部素质教育,2020,6(2):92-93. DOI: 10.16681/j.cnki.wcqe.202002049
[10] 曲波,郭海强,任继萍,等.结构方程模型及其应用[J].中国卫生统计,2005(06):405-407. DOI: 10.3969/j.issn.1002-3674.2005.06.019.

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